PENNSYLVANIA, May 11 - Office of Health Equity Advisory Committee.

§ 5905. Application forms.

The commission shall develop annual grant application forms

for any municipality or community-based organization serving a

municipality that seeks a program grant. At a minimum, the forms

shall contain the following information:

(1) The name, address and contact information of the

municipality or community-based organization.

(2) The amount of program grant money requested.

(3) The proposed use for the program grant money

requested, including clearly defined and measurable

objectives for the program grant money and the anticipated

number of individuals to be served.

(4) A statement describing how the municipality or

community-based organization proposes to use the program

grant money to implement a community-based violence reduction

initiative in accordance with the strategies described in

section 5903(b) (relating to grant program).

(5) A statement describing how the municipality or

community-based organization proposes to use the program

grant money to enhance coordination with relevant

stakeholders or existing violence prevention and intervention

programs and service providers in the municipality or

community, if any, to achieve maximum impact and minimize

duplication of services.

(6) Evidence indicating that the proposed violence

reduction initiative would likely reduce the incidence of gun

and group-related violence.

(7) Any other information that the commission deems

necessary and appropriate.

20210SB0670PN0739 - 4 -

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30